Organization
BYRON V HARTUNIAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON V HARTUNIAN MD (PRESIDENT)
(617) 864-5700
Entity
Organization
Contact information
Practice address
777 CONCORD AVE, SUITE 103, CAMBRIDGE, MA 02138-1056
(617) 864-5700
(617) 864-0883
Mailing address
777 CONCORD AVE, SUITE 103, CAMBRIDGE, MA 02138-1056
(617) 864-5700
(617) 864-0883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040158
TUFTS
MA
05
—
9727302
—
MA
01
—
M13717
BLUE SHIELD
MA
Enumeration date
09/28/2006
Last updated
08/22/2020
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